Arcadia Home Care and Staffing
Authorization & Eligibility Clerk
Arcadia Home Care and Staffing, Frisco, Texas, United States, 75034
Authorization Clerk
The Authorization Clerk is responsible for tracking and requesting patient authorizations for private insurance patients in the Home Health & Hospice; communicating with staff regarding authorization dates; following appropriate insurance guidelines for submittal, and following up on authorizations not yet received. HCHB experience preferred by not required. Home health and or hospice experience preferred but not required. Schedule: Full-time (Remote) 8am to 5pm (On Call rotation is currently every 5 weeks but will eventually be longer as we merge the HH and Hosp teams) We offer our team the best: Medical, Dental and Vision Benefits Continued Education PTO Plan Retirement Planning Life Insurance Employee discounts Essential Duties: Track and request all authorizations for private insurance Make modifications to improve the authorization process and relationships with provider under the supervision of the Billing Manager Disseminate accurate information regarding authorizations to staff Minimize denied authorizations Schedule authorizations upon receipt Enter staff schedules for private pay clients weekly Verify insurance eligibility of clients on a monthly basis Report unauthorized visits monthly Adhere to work schedule and maintain good punctuality and attendance record Adhere to dress code Perform any other related duties and responsibilities deemed necessary by Supervisor. Position Requirements & Competencies: Insurance experience preferred - running/reading eligs, requesting authorizations HCHB experience preferred Home health & Hospice experience required Possess knowledge of medical terminology and/or possess general medical background Ability to work with little supervision and make appropriate judgments Excellent organizational skills, and interpersonal skills. Must be dependable, tactful and ability to follow orders. Demonstrate ability to manage multiple deadlines. Must have advanced computer skills. Must have excellent customer service skills. Must be proficient in Excel and Microsoft Word.
The Authorization Clerk is responsible for tracking and requesting patient authorizations for private insurance patients in the Home Health & Hospice; communicating with staff regarding authorization dates; following appropriate insurance guidelines for submittal, and following up on authorizations not yet received. HCHB experience preferred by not required. Home health and or hospice experience preferred but not required. Schedule: Full-time (Remote) 8am to 5pm (On Call rotation is currently every 5 weeks but will eventually be longer as we merge the HH and Hosp teams) We offer our team the best: Medical, Dental and Vision Benefits Continued Education PTO Plan Retirement Planning Life Insurance Employee discounts Essential Duties: Track and request all authorizations for private insurance Make modifications to improve the authorization process and relationships with provider under the supervision of the Billing Manager Disseminate accurate information regarding authorizations to staff Minimize denied authorizations Schedule authorizations upon receipt Enter staff schedules for private pay clients weekly Verify insurance eligibility of clients on a monthly basis Report unauthorized visits monthly Adhere to work schedule and maintain good punctuality and attendance record Adhere to dress code Perform any other related duties and responsibilities deemed necessary by Supervisor. Position Requirements & Competencies: Insurance experience preferred - running/reading eligs, requesting authorizations HCHB experience preferred Home health & Hospice experience required Possess knowledge of medical terminology and/or possess general medical background Ability to work with little supervision and make appropriate judgments Excellent organizational skills, and interpersonal skills. Must be dependable, tactful and ability to follow orders. Demonstrate ability to manage multiple deadlines. Must have advanced computer skills. Must have excellent customer service skills. Must be proficient in Excel and Microsoft Word.